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Ambulance, Advanced Life Support Emergency (ALS 1)

Massachusetts rates for HCPCS A0427

Ambulance service, advanced life support, emergency transport, level 1 (ALS 1 - emergency)

Rates data updated October 2026.

How much does Ambulance, Advanced Life Support Emergency (ALS 1) cost?

$479

Typical negotiated rate. In Massachusetts, October 2026.

Insurers have agreed to pay about $479 for this service. The price depends on where it is billed: about $479 from a physician practice, and about $661 from a hospital or other facility.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 11 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$479$479 to $794
FacilityA hospital or hospital-owned outpatient department$661$501 to $1,380

How much rates vary

Facilitymedian $661 · 10th to 90th $324 to $1,905Professionalmedian $479 · 10th to 90th $363 to $933
$100$200$500$1K$2K$5K$10Kfacility $661professional $479

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$363.08
Median
$363.08
Typical High
$363.08
Aetna
Setting
Professional
Modifier
None
Typical Low
$302.00
Median
$363.08
Typical High
$676.08
AllWays Health Partners
Setting
Facility
Modifier
None
Typical Low
$812.83
Median
$1,445.44
Typical High
$1,819.70
AllWays Health Partners
Setting
Professional
Modifier
None
Typical Low
$302.00
Median
$512.86
Typical High
$1,148.15
BCBS Massachusetts
Setting
Professional
Modifier
None
Typical Low
$478.63
Median
$478.63
Typical High
$891.25
Cigna
Setting
Facility
Modifier
None
Typical Low
$446.68
Median
$724.44
Typical High
$724.44
Cigna
Setting
Professional
Modifier
None
Typical Low
$478.63
Median
$478.63
Typical High
$812.83
Fallon Health
Setting
Facility
Modifier
None
Typical Low
$83.18
Median
$1,412.54
Typical High
$8,511.38
Harvard Pilgrim
Setting
Professional
Modifier
None
Typical Low
$275.42
Median
$467.74
Typical High
$1,174.90
Health New England
Setting
Facility
Modifier
None
Typical Low
$630.96
Median
$645.65
Typical High
$1,621.81
Mass General Brigham
Setting
Facility
Modifier
None
Typical Low
$812.83
Median
$1,445.44
Typical High
$1,819.70
Mass General Brigham
Setting
Professional
Modifier
None
Typical Low
$302.00
Median
$512.86
Typical High
$1,148.15
Tufts
Setting
Facility
Modifier
None
Typical Low
$316.23
Median
$588.84
Typical High
$1,288.25
Tufts
Setting
Professional
Modifier
None
Typical Low
$281.84
Median
$398.11
Typical High
$501.19
United
Setting
Facility
Modifier
None
Typical Low
$575.44
Median
$575.44
Typical High
$630.96
United
Setting
Professional
Modifier
None
Typical Low
$275.42
Median
$467.74
Typical High
$1,174.90
Well Sense
Setting
Facility
Modifier
None
Typical Low
$302.00
Median
$524.81
Typical High
$776.25

Where Massachusetts sits

The same service costs 6.6 times more in Minnesota than in North Carolina. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Massachusetts· 28th of 51

$479

MN $1,820NC $275

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.